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The Oklahoma High-Risk Abuse Prevention Pilot Study (OHRAPPS) was funded by the state of Oklahoma to evaluate the feasibility and outcome of a home-based service for young children who are at high risk of abuse and neglect due to such factors as, but not limited to, parental drug and/or alcohol abuse, mental illness, mental and/or physical disability, and domestic violence. The OHRAPPS service model is a home-based intervention, SafeCare, which has been well researched and been found to reduce child maltreatment in child welfare populations (Lutzker, 1984; Lutzker & Bigelow, 2002; Lutzker, Bigelow, Doctor, Gershater, & Greene, 1998; Lutzker & Rice, 1984, 1987). SafeCare is behaviorally oriented and addresses changes in specific parent behaviors proximal to child maltreatment (child health, home safety, home cleanliness, and parent-child interactions). The service model for the OHRAPPS is an enhancement of SafeCare (SafeCare+) that includes Motivational Interviewing to address parents’ motivation to change, a structured Problem-Solving Program to improve caregivers problem-solving skills, and Safety-planning for Intimate Partner Violence. The research design for the OHRAPPS is a randomized-controlled design. Families were randomly assigned to SafeCare+ or to “Services As Usual”, which are the services that would have been provided if the family had called the community mental health center on their own requesting services and are often home-based mental health services. |
